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KiRA:

Rapida valutazione cinematica

Quantifica l'avanzamento del recupero dell'ACL

Una soluzione innovativa per l’esame clinico della cinematica articolare.

KiRA quantifica la lassità dinamica del ginocchio mediante grafici in tempo reale durante i test Pivot Shift, Drawer e Lachman confrontando entrambi gli arti.

Veloce, Efficace, Immediato

Cattura le condizioni di salute del ginocchio

Maggiore sicurezza nella diagnosi!

KiRA è davvero facile da usare

Caratteristiche

Applicazioni

Schermate

Evidenze cliniche

[9]

“A noninvasive acceleration measurement for the pivot shift where the sensor was placed on the skin between the lateral aspect of anterior tibial tuberosity and Gerdy’s tubercle.”

Ahldén M, Hoshino Y, Samuelsson K, Araujo P, Musahl V, Karlsson J

[10]

“Our experience showed us that the use of KiRA accelerometer for quantitative measurement of the PS is both promising and reliable.”

Berruto M, Uboldi F, Gala L, Marelli B, Albisetti W

[11]

“It has been shown to overcome the weaknesses of other available devices and systems. Therefore, since it can be considered a new paradigm in the quantification of pivot shift test, we can recommend its routine use in clinical practice.”

Zaffagnini S, Lopomo S, Signorelli C, Marcheggiani Muccioli GM, Bonanzinga T, Grassi A, Raggi F, Visani A, Marcacci M

[12]

“The KiRA showed an excellent inter- and intra-tester repeatability and it can be used non-invasively in the office to quantify the Lachman test in case of suspected ACL injury and assess ACL surgical reconstruction results.”

Raggi F, Roberti di Sarsina T, Signorelli C, Marcheggiani Muccioli GM, Macchiarola L, Cucurnia L, Romagnoli M, Grassi A, Zaffagnini S

[13]

“ The use of a triaxial accelerometer to quantify the lateral tibial plateau acceleration in the pivot shift test appears to be relevant for detecting an ALL injury on a deficient ACL knee. These findings help provide clinical guidelines for more effective objective measures to diagnose ALL injury, and determine the most effective management for each patient.”

Neri T, Lamotte A, Bonanzinga T, Farizon F, Philippot R
Ayeni OR, Chahal M, Tran MN, Sprague S (2012) Pivot shift as an outcome measure for ACL reconstruction: a systematic review. Knee Surgery, Sports Traumatology, Arthroscopy 20:767–777 https://pubmed.ncbi.nlm.nih.gov/22218828/
Kuroda R, Hoshino Y, Kubo S, Araki D, Oka S, Nagamune K, Kurosaka M (2012) Similarities and differences of diagnostic manual tests for anterior cruciate ligament insufficiency: a global survey and kinematics assessment. Am J Sports Med 40:91–99

https://pubmed.ncbi.nlm.nih.gov/21989128/

Snyder-Mackler L, Fitzgerald GK, Bartolozzi AR, Ciccotti MG (1997) The relationship between passive joint laxity and functional outcome after anterior cruciate ligament injury. Am J Sports Med 25:191–195 https://pubmed.ncbi.nlm.nih.gov/9079172/
Ostrowski JA (2006) Accuracy of 3 diagnostic tests for anterior cruciate ligament tears. J Athl Train 41:120–121

https://pubmed.ncbi.nlm.nih.gov/16619105/

Ahldén M, Araujo P, Hoshino Y, Samuelsson K, Middleton KK, Nagamune K, Karlsson J, Musahl V (2012) Clinical grading of the pivot shift test correlates best with tibial acceleration. Knee Surgery, Sports Traumatology, Arthroscopy 20:708–712

https://pubmed.ncbi.nlm.nih.gov/22215076/

Berruto M, Uboldi F, Gala L, Marelli B, Albisetti W (2013) Is triaxial accelerometer reliable in the evaluation and grading of knee pivot-shift phenomenon? Knee Surg Sports Traumatol Arthrosc 21:981–985 https://pubmed.ncbi.nlm.nih.gov/23392289/ > Download pdf
Lopomo N, Signorelli C, Bonanzinga T, Marcheggiani Muccioli GM, Visani A, Zaffagnini S. Quantitative assessment of pivot-shift using inertial sensors. Knee Surg Sports Traumatol Arthrosc. 2012 Apr;20(4):713-7 https://pubmed.ncbi.nlm.nih.gov/22222615/ > Download pdf
Zaffagnini S, Lopomo N, Signorelli C, Marcheggiani Muccioli GM, Bonanzinga T, Grassi A, Visani A, Marcacci M. Innovative technology for knee laxity evaluation: clinical applicability and reliability of inertial sensors for quantitative analysis of the pivot-shift test. Clin Sports Med. 2013 Jan;32(1):61-70 https://pubmed.ncbi.nlm.nih.gov/23177462/ > Download pdf
Ahldén M, Hoshino Y, Samuelsson K, Araujo P, Musahl V, Karlsson J (2012) Dynamic knee laxity measurement devices. Knee Surgery, Sports Traumatology, Arthroscopy 20(4):621-32. https://pubmed.ncbi.nlm.nih.gov/22210516/
Berruto M, Uboldi F, Gala L, Marelli B, Albisetti W (2013) Is triaxial accelerometer reliable in the evaluation and grading of knee pivot-shift phenomenon? Knee Surg Sports Traumatol Arthrosc. 21(4):981-5. https://pubmed.ncbi.nlm.nih.gov/23392289/
Zaffagnini S, Lopomo S, Signorelli C, Marcheggiani Muccioli GM, Bonanzinga T, Grassi A, Raggi F, Visani A, Marcacci M (2014) Inertial sensors to quantify the pivot shift test in the treatment of anterior cruciate ligament injury. Joints. 2014 Jul-Sep; 2(3): 124–129. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4295682/
Raggi F, Roberti di Sarsina T, Signorelli C, Marcheggiani Muccioli GM, Macchiarola L, Cucurnia L, Romagnoli M, Grassi A, Zaffagnini S (2019) Knee Surg Sports Traumatol Arthrosc. 27(8):2698-2703. doi: 10.1007/s00167-018-5306-7. Epub 2018 Nov 24. https://pubmed.ncbi.nlm.nih.gov/30474693/
Neri T, Lamotte A, Bonanzinga T, Farizon F, Philippot R (2019) Comparison of the use of a laximeter and a triaxial accelerometer for Anterolateral ligament injury diagnosis in ACL deficient knee. Orthop J Sports Med. 7(5 suppl3): 2325967119S00206. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6543791/

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Cosa dicono di noi i nostri clienti

"I parametri di accelerazione tibiale durante il pivot shif test erano strettamente correlati con la valutazione clinica eseguita da 12 chirurghi esperti."
Dr. Mattias Ahldén
University of Göteborg
"Sulla base della nostra esperienza, l'uso dell'accelerometro KiRA per la misurazione quantitativa del PS è promettente e affidabile. Ha il pregio di essere facile da configurare e facile da usare sia in clinica che in sala operatoria."
Dr. Massimo Berruto
Chirurgo ortopedico
"KiRA rappresenta un valido strumento non invasivo in grado di quantificare l'instabilità dinamica. Anche per valutazioni ambulatoriali."
Prof. Nicola Francesco Lopomo
Ingegnere biomedico
"Un'ulteriore applicazione è l'uso di KiRA come strumento didattico per istruire i giovani chirurghi a eseguire il test PS in un modo più standardizzato, consentendo in definitiva il confronto dei risultati clinici dopo l'intervento di ricostruzione del legamento crociato anteriore."
Prof. Stefano Zaffagnini

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